Integris Medical Group Grove | |
601 E 13th St Ste A, C, G & H Grove OK 74344-2989 | |
(918) 786-2243 | |
Not Available |
Full Name | Integris Medical Group Grove |
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Speciality | Clinic/Center |
Location | 601 E 13th St, Grove, Oklahoma |
Authorized Official Name and Position | Chris Hammes (SENIOR VICE PRESIDENT & COO) |
Authorized Official Contact | 4059493402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integris Medical Group Grove 5400 N Independence Ave Ste 200 Oklahoma City OK 73112-5300 Ph: (405) 713-5515 | Integris Medical Group Grove 601 E 13th St Ste A, C, G & H Grove OK 74344-2989 Ph: (918) 786-2243 |
NPI Number | 1134720592 |
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Provider Enumeration Date | 11/03/2020 |
Last Update Date | 04/12/2021 |
Medicare PECOS PAC ID | 0042105835 |
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Medicare Enrollment ID | O20040219000842 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134720592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | James D Rutter |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649258369 PECOS PAC ID: 0840196739 Enrollment ID: I20031231000129 |
Provider Name | James M Osborn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669446225 PECOS PAC ID: 3870679277 Enrollment ID: I20080326000293 |
Provider Name | Rita J Shewmake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841267440 PECOS PAC ID: 6103825872 Enrollment ID: I20080821000550 |
Provider Name | Paul K Fuhrmeister |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811189194 PECOS PAC ID: 9638065709 Enrollment ID: I20090728000107 |
Provider Name | Shelly Ann Boston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932487022 PECOS PAC ID: 4981877206 Enrollment ID: I20111102000599 |
Provider Name | Janena G Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215222666 PECOS PAC ID: 8426213968 Enrollment ID: I20120706000253 |
Provider Name | Kyle J Schauf |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265662092 PECOS PAC ID: 9830346030 Enrollment ID: I20120822000786 |
Provider Name | Phillip S Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245522549 PECOS PAC ID: 9133386709 Enrollment ID: I20140402000234 |
Provider Name | Mindy D Mcbrien |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437530664 PECOS PAC ID: 3173839776 Enrollment ID: I20150827000950 |
Provider Name | Jodee Sue Carrier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013391689 PECOS PAC ID: 2961717806 Enrollment ID: I20150917002250 |
Provider Name | Kelly Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447551817 PECOS PAC ID: 9537477856 Enrollment ID: I20151006000432 |
Provider Name | Vitaliy Krylov |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427431253 PECOS PAC ID: 2668748575 Enrollment ID: I20171020001225 |
Provider Name | Emily Ann Chandler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275020943 PECOS PAC ID: 7113281775 Enrollment ID: I20180507001530 |
Provider Name | Ashley Rose Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851893036 PECOS PAC ID: 3971867573 Enrollment ID: I20180508000647 |
Provider Name | Shealyn Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407416548 PECOS PAC ID: 2365770104 Enrollment ID: I20190819001001 |
Provider Name | Dustin A Thompson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255826889 PECOS PAC ID: 4284977034 Enrollment ID: I20191022003381 |
Provider Name | Christopher Scott Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104468560 PECOS PAC ID: 6800221524 Enrollment ID: I20200127000592 |
Provider Name | Caitlin Schaede |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255870820 PECOS PAC ID: 7416372784 Enrollment ID: I20200803003329 |
Provider Name | Angela Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700392537 PECOS PAC ID: 4385904416 Enrollment ID: I20211112000745 |
Provider Name | Brooke N Bullard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871244780 PECOS PAC ID: 2961899109 Enrollment ID: I20220419000037 |
Provider Name | Joseph Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891454062 PECOS PAC ID: 2466832662 Enrollment ID: I20220706001459 |
Provider Name | Rachael Cecelia Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205598505 PECOS PAC ID: 9830561281 Enrollment ID: I20230211000046 |
Provider Name | Kristy Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184084097 PECOS PAC ID: 1850699059 Enrollment ID: I20230225000481 |
Provider Name | Haley Jo Wigelsworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710682935 PECOS PAC ID: 9234595810 Enrollment ID: I20230524001895 |
Provider Name | Judy Rachele Hargis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801581004 PECOS PAC ID: 1759742836 Enrollment ID: I20230804003682 |
Provider Name | Janelle Rae Harding |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801889597 PECOS PAC ID: 4789699349 Enrollment ID: I20231113002806 |
Renee J. Zarintash, M.d., P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 104, Grove, OK 74344 Phone: 918-786-3100 Fax: 918-786-3108 | |
Osu-aj Integris Grand Lake Ent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 201, Grove, OK 74344 Phone: 918-561-8306 Fax: 918-561-5747 | |
Northeast Oklahoma Family Practice & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St, Suite H, Grove, OK 74344 Phone: 918-786-4664 Fax: 918-786-4256 | |
Happy Feet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63153 East 290 Road, Grove, OK 74344 Phone: 918-801-5991 | |
Dr. H's Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Us Highway 59, Grove, OK 74344 Phone: 918-877-1211 Fax: 918-877-1216 | |
Family Care Spec, Inc., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St Ste C, Grove, OK 74344 Phone: 918-786-6151 Fax: 918-786-3483 |